A cycle ergometer exercise program improves exercise capacity and inspiratory muscle function in hospitalized patients awaiting heart transplantation: a pilot study

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dc.contributor.authorForestieri, Patricia [UNIFESP]
dc.contributor.authorGuizilini, Solange [UNIFESP]
dc.contributor.authorPeres, Monique [UNIFESP]
dc.contributor.authorBublitz, Caroline [UNIFESP]
dc.contributor.authorBolzan, Douglas Willian [UNIFESP]
dc.contributor.authorRocco, Isadora Salvador [UNIFESP]
dc.contributor.authorSantos, Vinicius Batista [UNIFESP]
dc.contributor.authorMoreira, Rita Simone Lopes [UNIFESP]
dc.contributor.authorBreda, João Roberto [UNIFESP]
dc.contributor.authorAlmeida, Dirceu Rodrigues de [UNIFESP]
dc.contributor.authorCarvalho, Antonio Carlos de Camargo [UNIFESP]
dc.contributor.authorArena, Ross
dc.contributor.authorGomes, Walter José [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2019-01-21T10:29:40Z
dc.date.available2019-01-21T10:29:40Z
dc.date.issued2016
dc.description.abstractOBJECTIVE: The purpose of this study was to evaluate the effect of a cycle ergometer exercise program on exercise capacity and inspiratory muscle function in hospitalized patients with heart failure awaiting heart transplantation with intravenous inotropic support. METHODS: Patients awaiting heart transplantation were randomized and allocated prospectively into two groups: 1) Control Group (n=11) – conventional protocol; and 2) Intervention Group (n=7) – stationary cycle ergometer exercise training. Functional capacity was measured by the six-minute walk test and inspiratory muscle strength assessed by manovacuometry before and after the exercise protocols. RESULTS: Both groups demonstrated an increase in six-minute walk test distance after the experimental procedure compared to baseline; however, only the intervention group had a significant increase (P=0.08 and P=0.001 for the control and intervention groups, respectively). Intergroup comparison revealed a greater increase in the intervention group compared to the control (P<0.001). Regarding the inspiratory muscle strength evaluation, the intragroup analysis demonstrated increased strength after the protocols compared to baseline for both groups; statistical significance was only demonstrated for the intervention group, though (P=0.22 and P<0.01, respectively). Intergroup comparison showed a significant increase in the intervention group compared to the control (P<0.01). CONCLUSION: Stationary cycle ergometer exercise training shows positive results on exercise capacity and inspiratory muscle strength in patients with heart failure awaiting cardiac transplantation while on intravenous inotropic support.en
dc.description.affiliationDisciplina de Cirurgia Cardiovascular e Cardiologia da Escola Paulista de Medicina da Universidade de São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil
dc.description.affiliationDepartamento de Ciência do Movimento Humana, Escola de Fisioterapia da Universidade Federal de São Paulo (UNIFESP), Santos, SP, Brazil
dc.description.affiliationDepartment of Physical Therapy and Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, USA
dc.description.affiliationUnifespDisciplina de Cirurgia Cardiovascular e Cardiologia da Escola Paulista de Medicina da Universidade de São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil
dc.description.affiliationUnifespDepartamento de Ciência do Movimento Humana, Escola de Fisioterapia da Universidade Federal de São Paulo (UNIFESP), Santos, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent389-395
dc.identifierhttps://cdn.publisher.gn1.link/bjcvs.org/pdf/v31n5a10.pdf
dc.identifier.citationBrazilian Journal Of Cardiovascular Surgery. Sao paulo sp, v. 31, n. 5, p. 389-395, 2016.
dc.identifier.doi10.5935/1678-9741.20160078
dc.identifier.fileS0102-76382016000500389.pdf
dc.identifier.issn0102-7638
dc.identifier.scieloS0102-76382016000500389
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/49314
dc.identifier.wosWOS:000390092100010
dc.language.isoeng
dc.publisherHospital Clinicas, Univ Sao Paulo
dc.relation.ispartofBrazilian Journal Of Cardiovascular Surgery
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHeart Failureen
dc.subjectHeart Transplantationen
dc.subjectRespiratory Mechanicsen
dc.subjectMuscle Strength/(Star)Physiologyen
dc.subjectRespiratory Therapy/(Star)MethodsFailureen
dc.subjectAbnormalitiesen
dc.titleA cycle ergometer exercise program improves exercise capacity and inspiratory muscle function in hospitalized patients awaiting heart transplantation: a pilot studyen
dc.typeinfo:eu-repo/semantics/article
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